Table 2 Minimum bundle of tests that are performed on HDU admission
From: COVID-19 multidisciplinary high dependency unit: the Milan model
Minimum bundle of test on HDU admission | Additional test |
|---|---|
Vital parameters (body temperature, blood pressure, respiratory rate, diuresis, ventilator/oxygen parameters) on admission and after 1, 3 and 6 h after admission. | Thorax CT based on clinical status and risk of superinfection/pulmonary complications (contrast medium should be strongly considered if clinical suspicion of pulmonary embolism is present). |
BGA on admission and after 1 and 3 h after admission | Throat cultures for MRSA and rectal swab for multi-resistant pathogens in case the patient is transferred from an intensive care unit or any other unit |
Blood tests: blood cell count, CRP, PCT, transaminase, creatine phosphokinase (CPK), lactate dehydrogenase (LDH), total bilirubin, gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP), creatinine, serum sodium, serum potassium, serum clorum, glycemia, albumin, prothrombin time (PT), activated partial thromboplastin time (aPTT or APTT), D-dimer, ferritin, fibrinogen, triglycerides, proBNP, troponin T, IL-6) | Echocardiography in case of clinical suspicion of myocardial/pericardial involvement or heart failure |
Microbiological tests: L. pneumophila and S. pneumoniae urinary antigen; blood cultures (preferably during fever) | |
EKG | |
Chest-X ray if not performed in the last 3 days | |
Lung ultrasound | |
Lower extremity venous ultrasound | |
Inferior vena cava ultrasound |